Dr. Gupta homoeopathic chikitsalay

 *Gastero Esophageal Reflux Disorder (GERD)*

IT is a syndrome resulting from oesophageal tissue damage as a result or regurgitation of gastric acid (stomach content) into the oesophagus.

*Causes*

1. Incompetence of lower oesophageal sphinctor. 

2. Slow or absent oesophagus clearance.

3. Delayed gastric evacuation.

4. Injury effects of reflex.

*Clinical feature*

- Heartburn (burning in chest)

-Regurgitation of sour or bitter gastric content in mouth

-Dyspepsia (Loss of appetite)

*Screening Test*

Barium meal examination

Upper endoscopy

Oesophageal manometry

Ambulatory oesophageal pH monitoring

Management

1. Avoidance of spicy , fatty food, tea, coffee, alcohal, cold drink, chocolate etc.

2. Reduce overweighted weight.

3. Avoidance of lying down within 3 hours of meal

4. Keep the head end of bed raised at least 6 inches.

Dr. Bhupendra Gupta